Dunn, Mary Susan
Dunn, Mary Susan is an individual health care provider with primary practice located at 10321 Champion Farms Dr , Louisville KY 40241-6129. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Dunn, Mary Susan can be contacted via phone (502) 899-9363.Contact Information
Primary practice address
10321 Champion Farms Dr
Louisville KY 40241-6129
Phone: (502) 899-9363
Fax: (502) 899-9365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 003333 | Kentucky |
Profile Details
| NPI number | 1003802802 |
|---|---|
| LBN Legal business name | Dunn, Mary Susan |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | May 12th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003802802 | NPPES |
| Other | 000000205603 | ANTHEM |
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